EP0366292B1 - Uteriner Balloninjektor mit einem Kanal - Google Patents
Uteriner Balloninjektor mit einem Kanal Download PDFInfo
- Publication number
- EP0366292B1 EP0366292B1 EP89310241A EP89310241A EP0366292B1 EP 0366292 B1 EP0366292 B1 EP 0366292B1 EP 89310241 A EP89310241 A EP 89310241A EP 89310241 A EP89310241 A EP 89310241A EP 0366292 B1 EP0366292 B1 EP 0366292B1
- Authority
- EP
- European Patent Office
- Prior art keywords
- elongated member
- fluid communication
- opening
- fluid
- passageway
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Expired - Lifetime
Links
- 239000012530 fluid Substances 0.000 claims abstract description 67
- 239000002872 contrast media Substances 0.000 claims abstract description 10
- 239000007788 liquid Substances 0.000 claims abstract description 9
- 230000004888 barrier function Effects 0.000 claims abstract description 7
- 238000002347 injection Methods 0.000 claims abstract description 7
- 239000007924 injection Substances 0.000 claims abstract description 7
- 238000007789 sealing Methods 0.000 description 2
- 241001631457 Cannula Species 0.000 description 1
- 239000003795 chemical substances by application Substances 0.000 description 1
- 238000010276 construction Methods 0.000 description 1
- 238000013270 controlled release Methods 0.000 description 1
- 239000003814 drug Substances 0.000 description 1
- 229940079593 drug Drugs 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 210000003101 oviduct Anatomy 0.000 description 1
- 229920002379 silicone rubber Polymers 0.000 description 1
- 239000004945 silicone rubber Substances 0.000 description 1
- 210000004291 uterus Anatomy 0.000 description 1
Images
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M31/00—Devices for introducing or retaining media, e.g. remedies, in cavities of the body
- A61M31/005—Devices for introducing or retaining media, e.g. remedies, in cavities of the body for contrast media
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/42—Gynaecological or obstetrical instruments or methods
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2210/00—Anatomical parts of the body
- A61M2210/14—Female reproductive, genital organs
- A61M2210/1425—Uterine tubes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2210/00—Anatomical parts of the body
- A61M2210/14—Female reproductive, genital organs
- A61M2210/1433—Uterus
Definitions
- the present invention relates generally to a uterine injector, and more particularly to a single channel balloon-type uterine injector.
- This instrument consists of two channels, one for injection of dye or x-ray contrast medium, and the second for inflating a balloon inside the uterine cavity. This structure seals the external os and prevents leaking.
- the disadvantages of the cannula with balloon instrument is its cumbersome construction and its high cost.
- US-A-3,817,248 discloses a self-powered device for the continuous and controlled release of an agent, such as drugs, into the uterine cavity, for example.
- the self powering is achieved by the use of a pressure distendable receptacle communicating with a discharge port.
- the present invention relates to an apparatus for injection of dye or contrast medium into a uterine cavity.
- An elongated member having a first and a second end and an intermediate portion has a liquid impervious expandable tube disposed around it and is sealed on each end thereof to the exterior thereof.
- a first fluid passageway extends from one end of the elongated member to a barrier and another fluid passageway extends from the other end of the elongated member to the barrier.
- a first opening in the elongated member allows fluid communication between the first passageway and the inside of the balloon tube and a second opening in the elongated member provides fluid communication between the second fluid passageway and the inside of the balloon tube.
- the second opening is substantially smaller in cross-sectional area than the first opening whereby fluid pressure applied to the first passageway will remain substantially higher than the pressure in the second fluid communication passageway, whereby fluid pressure within the tube will cause it to expand to seal against the inner wall of the uterine cavity, while at the same time fluid will flow sequentially from the first fluid communication passageway, through the first opening, through the expanded tube, through the second opening, through the second communication passageway and out through a discharge opening structure on one end of the second fluid communication passageway.
- An object of the present invention is to provide an improved uterine injector.
- a further object of the present invention is to provide an improved uterine injector which is simpler to use than the prior art uterine injectors.
- a further object of the present invention is to provide a uterine injector which is dependable to use and which is economical to produce.
- FIG. 1 shows a uterine injector apparatus (10) constructed in accordance with the present invention.
- Attachment (11) which fits inside the head of a Valtchev uterine mobilizer, connects a source of liquid dye or liquid x-ray contrast medium to a source of such dye or x-ray medium under high pressure.
- the attachment (11) is in fluid communication with an elongated member (12).
- a first fluid communication passageway (13) extends from the passageway (14) in the attachment (11) to a barrier (15).
- a second fluid communication passageway (16) extends from the barrier (15) to the other end of the elongated member (12).
- the extreme other end of the elongated member (12) has a plug (17) in the end thereof to force liquid through openings (18).
- the plug (17) also causes a smooth end on the elongated member (12) to prevent damage to the patient.
- the passageway (13) has a sidewall opening (23) therein and the passageway (16) has an opening (26) therein.
- a tubular balloon-like member (20) is bonded in a groove to the elongated member (12) at each end thereof as can readily be seen in Fig. 5, but the center portion of the tube (20) is not bonded to the elongated member (12).
- the elongated tube (20) is of course sealed and is imperforate to the passage of fluids therethrough. It can be made of silicone rubber or the like.
- a dye or x-ray contrast medium (21) is injected through the passageway (13).
- the fluid (21) enters the balloon cavity through the opening (23) and distends the balloon to the position shown in Fig. 6.
- the distended balloon or tube (20) seals the exit from the uterine cavity (22).
- the fluid (21) then enters from the balloon cavity (24) (Fig. 5) through a very small opening (26), which is several times smaller than the cross sectional size of the opening (23), and then the flow goes into the passageway (16) and out through sidewall openings (18), where it enters the uterine cavity and the the fallopian tubes.
- the opening (26) has a 0.1 mm diameter round opening and the opening (23) has a diameter of 2.0 mm in a round opening.
- a 20 ml syringe is used to inject the fluid into the passageway (13).
- FIG. 7 embodiment 10′ operates just like embodiment 10 except that opening 26′ communicates passageway 16 directly with passageway 13.
- the diameter of 26′ is much smaller than opening 23 so that it forms a restriction so that the balloon 20 will inflate as flow goes through passageway 26′.
Landscapes
- Health & Medical Sciences (AREA)
- Engineering & Computer Science (AREA)
- Anesthesiology (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Hematology (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
- Media Introduction/Drainage Providing Device (AREA)
Claims (5)
- Vorrichtung zur Injektion eines Farbstoffes oder eines Kontrastmittels in den Hohlraum eines Uterus', mit:
einem länglichen Element (10) mit einem ersten Ende, einem zweiten Ende und einem Zwischenbereich zwischen dem ersten und zweiten Ende;
einem flüssigkeitsdichten expandierbaren Schlauch (20), der um das längliche Element (10) herum angeordnet ist und an jedem Ende davon mit dem äußeren Bereich des länglichen Elements (10) dichtend verbunden ist, wobei sich der Schlauch über den Zwischenbereich des länglichen Elements (10) erstreckt;
einem ersten Mittel (13) zum Ausbilden eines ersten Flüssigkeitsdurchgangs von dem ersten Ende zu dem Zwischenbereich des länglichen Elements (10);
einem zweiten Mittel (16) zum Ausbilden eines zweiten Flüssigkeitsdurchgangs von dem Zwischenbereich zu dem zweiten Ende des länglichen Elements (10);
wobei das erste Ende des länglichen Elements (10) dazu ausgelegt ist, eine Quelle von unter Druck stehendem flüssigem Farbstoff oder Kontrastmittel aufzunehmen;
einer ersten Öffnung (23) in dem länglichen Element (10), die mit dem ersten Flüssigkeitsdurchgang (13) mit dem Inneren des Schlauchs (20) in Strömungsverbindung ist;
einer zweiten Öffnung (26) in dem länglichen Element, die mit dem zweiten Flüssigkeitsdurchgang (26) und mit dem Inneren des Schlauchs (20) in Strömungsverbindung ist;
einem Sperrmittel (15), das im Inneren des länglichen Elements (10) angeordnet ist, um eine direkte Strömungsverbindung zwischen dem ersten und zweiten Flüssigkeitsdurchgang (13,16) zu verhindern; und
mit einem Auslaßmittel (18), das im zweiten Ende des länglichen Elements angeordnet ist, um es dem Fluid im zweiten Flüssigkeitsdurchgang (16) zu ermöglichen, durch dieses auszutreten;
wobei der Querschnittsbereich der zweiten Öffnung (26) wesentlich kleiner ist als der der ersten Öffnung (23), wodurch der Flüssigkeitsdruck im Inneren des Schlauchs (20) wesentlich höher sein wird als der Druck in dem zweiten Flüssigkeitsdurchgang (16), wodurch der Flüssigkeitsdruck in dem Schlauch diesen dazu veranlassen wird, sich dichtend gegen den inneren Wandbereich des Uterus anzulegen, während zur gleichen Zeit Flüssigkeit der Reihe nach von dem ersten Flüssigkeitsdurchgang (13) durch die erste Öffnung (23), durch den expandierten Schlauch (20), durch die zweite Öffnung (26), durch den zweiten Flüssigkeitsdurchgang (16) und durch das Auslaßmittel (18) fließen wird. - Vorrichtung zur Injektion eines Farbstoffes oder eines Kontrastmittels in den Hohlraum eines Uterus', mit:
einem länglichen Element (10) mit einem ersten Ende, einem zweiten Ende und einem Zwischenbereich zwischen dem ersten und zweiten Ende;
einem flüssigkeitsdichten expandierbaren Schlauch (20), der um das längliche Element (10) herum angeordnet ist und an jedem Ende davon mit dem äußeren Bereich des länglichen Elements (10) dichtend verbunden ist, wobei sich der Schlauch (20) über den Zwischenbereich des länglichen Elements (10) erstreckt;
einem ersten Mittel (13) zum Ausbilden eines ersten Flüssigkeitsdurchgangs von dem ersten Ende zu dem Zwischenbereich des länglichen Elements (10);
einem zweiten Mittel (16) zum Ausbilden einer zweiten Flüssigkeitsdurchgangs von dem Zwischenbereich zu dem zweiten Ende des länglichen Elements (10);
wobei das erste Ende des länglichen Elements (10) dazu ausgelegt ist, eine Quelle von unter Druck stehendem flüssigem Farbstoff oder Kontrastmittel aufzunehmen;
einer ersten Öffnung (23) in dem länglichen Element (10), die mit dem ersten Flüssigkeitsdurchgang (13) mit dem Inneren des Schlauchs (20) in Strömungsverbindung ist;
einer zweiten Öffnung (26') in dem länglichen Element (10), die mit dem zweiten Flüssigkeitsdurchgang (16) und mit dem ersten Flüssigkeitsdurchgang (13) in Strömungsverbindung ist; und
mit einem Auslaßmittel (18), das im zweiten Ende des länglichen Elements (10) angeordnet ist, um es dem Fluid im zweiten Flüssigkeitsdurchgang (16) zu ermöglichen, durch dieses auszutreten;
wobei die zweite Öffnung (26') einen wesentlich kleineren Querschnittsbereich aufweist als die erste Öffnung (23), wodurch der Flüssigkeitsdruck im Inneren des Schlauches (20) wesentlich höher sein wird als der Druck in dem zweiten Flüssigkeitsdurchgang (16), wodurch der Flüssigkeitsdruck in dem Schlauch denselben dichtend gegen die Innenwandung des Uterus anlegen wird, während zur gleichen Zeit Flüssigkeit der Reihe nach von dem ersten Flüssigkeitsdurchgang (13) durch die erste Öffnung (23) und in den Schlauch (20) fließen wird, und der Reihe nach von dem ersten Flüssigkeitsdurchgang (13), durch die zweite Öffnung (26'), durch den zweiten Flüssigkeitsdurchgang (16), und dann durch das Auslaßmittel (18) fließen wird. - Vorrichtung nach Anspruch 1 oder 2, worin das Auslaßmittel eine Vielzahl von Bohrungen (18) im zweiten Ende des länglichen Elementes (10) aufweist.
- Vorrichtung nach einem der Ansprüche 1-3, worin ein abgerundeter Stopfen (17) in dem zweiten Flüssigkeitsdurchgang (16) am zweiten Ende des länglichen Elements (10) angeordnet ist.
- Vorrichtung nach einem der Ansprüche 1-4, worin das längliche Element (10) gerade ausgebildet ist, bis auf einen gekrümmten Bereich am zweiten Ende desselben.
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US07/261,078 US5100382A (en) | 1988-10-24 | 1988-10-24 | Single channel balloon uterine injector |
US261078 | 1988-10-24 |
Publications (3)
Publication Number | Publication Date |
---|---|
EP0366292A2 EP0366292A2 (de) | 1990-05-02 |
EP0366292A3 EP0366292A3 (de) | 1991-07-17 |
EP0366292B1 true EP0366292B1 (de) | 1994-08-31 |
Family
ID=22991866
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
EP89310241A Expired - Lifetime EP0366292B1 (de) | 1988-10-24 | 1989-10-06 | Uteriner Balloninjektor mit einem Kanal |
Country Status (4)
Country | Link |
---|---|
US (1) | US5100382A (de) |
EP (1) | EP0366292B1 (de) |
AT (1) | ATE110577T1 (de) |
DE (1) | DE68917852T2 (de) |
Cited By (8)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US8025656B2 (en) | 2006-11-07 | 2011-09-27 | Hologic, Inc. | Methods, systems and devices for performing gynecological procedures |
US8528563B2 (en) | 2007-04-06 | 2013-09-10 | Hologic, Inc. | Systems, methods and devices for performing gynecological procedures |
US8574253B2 (en) | 2007-04-06 | 2013-11-05 | Hologic, Inc. | Method, system and device for tissue removal |
US8647349B2 (en) | 2006-10-18 | 2014-02-11 | Hologic, Inc. | Systems for performing gynecological procedures with mechanical distension |
US8951274B2 (en) | 2007-04-06 | 2015-02-10 | Hologic, Inc. | Methods of high rate, low profile tissue removal |
US9095366B2 (en) | 2007-04-06 | 2015-08-04 | Hologic, Inc. | Tissue cutter with differential hardness |
US9392935B2 (en) | 2006-11-07 | 2016-07-19 | Hologic, Inc. | Methods for performing a medical procedure |
CN105832376A (zh) * | 2016-05-11 | 2016-08-10 | 杨荣利 | 一种宫腔止血球囊 |
Families Citing this family (11)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CA2117032A1 (en) * | 1993-03-09 | 1994-09-10 | Konstantin L. Valtchev | Collar system for uterine manipulator |
US5487377A (en) * | 1993-11-05 | 1996-01-30 | Clinical Innovation Associates, Inc. | Uterine manipulator and manipulator tip assembly |
US5382252A (en) * | 1994-03-24 | 1995-01-17 | Ethicon Endo-Surgery | Transvaginal uterine manipulator |
US5645561A (en) * | 1994-07-29 | 1997-07-08 | Utah Medical Products, Inc. | Uterine manipulator |
US6706026B1 (en) | 1996-08-09 | 2004-03-16 | Cook Urological Incorporated | Instillation uterine catheter |
US6827703B1 (en) * | 1999-11-24 | 2004-12-07 | Coopersurgical, Inc. | Single lumen balloon catheter apparatus |
US20040002680A1 (en) * | 2002-07-01 | 2004-01-01 | Ackrad Laboratories, Inc. | Single lumen balloon catheter apparatus |
US20050107818A1 (en) * | 2003-11-17 | 2005-05-19 | Valtchev Konstantin L. | Vaginal delineation and occlusion device |
US7625761B2 (en) * | 2004-07-30 | 2009-12-01 | Beckman Coulter, Inc. | Flexible reactor |
US11903602B2 (en) | 2009-04-29 | 2024-02-20 | Hologic, Inc. | Uterine fibroid tissue removal device |
US9089365B2 (en) | 2012-04-26 | 2015-07-28 | Imds Llc | Tissue fixation device |
Family Cites Families (17)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US3504662A (en) * | 1967-05-16 | 1970-04-07 | Avco Corp | Intra-arterial blood pump |
US3692018A (en) * | 1970-02-11 | 1972-09-19 | Robert H Goetz | Cardiac assistance device |
US3817248A (en) * | 1972-11-06 | 1974-06-18 | Alza Corp | Self powered device for delivering beneficial agent |
US3916906A (en) * | 1973-07-09 | 1975-11-04 | Martin E Gerry | Multihead dilator |
US4022208A (en) * | 1974-07-25 | 1977-05-10 | Valtchev Konstantin L | Gynecologic instrument |
US4029104A (en) * | 1976-03-08 | 1977-06-14 | Kerber Charles W | Calibrated leak balloon micro-catheter |
FR2350849A1 (fr) * | 1976-05-14 | 1977-12-09 | Inst Nat Sante Rech Med | Sonde d'angiographie a occlusion automatique |
FR2434628A1 (fr) * | 1978-09-01 | 1980-03-28 | Durand Alain | Catheter a ballonnet |
US4301803A (en) * | 1978-10-06 | 1981-11-24 | Kuraray Co., Ltd. | Balloon catheter |
US4207891A (en) * | 1978-10-10 | 1980-06-17 | Population Research Incorporated | Dispensing instrument with supported balloon |
SE433445B (sv) * | 1981-04-16 | 1984-05-28 | Erik Gustav Percy Nordqvist | Urinkateter |
US4402684A (en) * | 1981-09-16 | 1983-09-06 | The Kendall Company | Cannula with soft tip |
US4573476A (en) * | 1983-11-14 | 1986-03-04 | Ruiz Oscar F | Angiographic catheter |
US4652258A (en) * | 1984-12-18 | 1987-03-24 | The Kendall Company | Catheter with expansible connector and method |
US4655745A (en) * | 1985-07-29 | 1987-04-07 | Corbett Joseph E | Ventricular catheter |
DE3634569A1 (de) * | 1986-10-10 | 1988-04-21 | Sachse Hans E | Kondomkatheter, ein harnroehrenkatheter zur verhinderung von aufsteigenden infektionen |
US4811737A (en) * | 1987-11-16 | 1989-03-14 | Schneider-Shiley (Usa) Inc. | Self-purging balloon catheter |
-
1988
- 1988-10-24 US US07/261,078 patent/US5100382A/en not_active Expired - Lifetime
-
1989
- 1989-10-06 EP EP89310241A patent/EP0366292B1/de not_active Expired - Lifetime
- 1989-10-06 DE DE68917852T patent/DE68917852T2/de not_active Expired - Fee Related
- 1989-10-06 AT AT89310241T patent/ATE110577T1/de active
Cited By (16)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US8834487B2 (en) | 2006-10-18 | 2014-09-16 | Hologic, Inc. | Systems and methods for preventing intravasation during intrauterine procedures |
US8840625B2 (en) | 2006-10-18 | 2014-09-23 | Hologic, Inc. | Systems for performing gynecological procedures with closed visualization lumen |
US8840626B2 (en) | 2006-10-18 | 2014-09-23 | Hologic, Inc. | Systems for performing gynecological procedures with simultaneous tissue cutting and removal |
US8647349B2 (en) | 2006-10-18 | 2014-02-11 | Hologic, Inc. | Systems for performing gynecological procedures with mechanical distension |
US9392935B2 (en) | 2006-11-07 | 2016-07-19 | Hologic, Inc. | Methods for performing a medical procedure |
US8025656B2 (en) | 2006-11-07 | 2011-09-27 | Hologic, Inc. | Methods, systems and devices for performing gynecological procedures |
US8574253B2 (en) | 2007-04-06 | 2013-11-05 | Hologic, Inc. | Method, system and device for tissue removal |
US8528563B2 (en) | 2007-04-06 | 2013-09-10 | Hologic, Inc. | Systems, methods and devices for performing gynecological procedures |
US8951274B2 (en) | 2007-04-06 | 2015-02-10 | Hologic, Inc. | Methods of high rate, low profile tissue removal |
US9095366B2 (en) | 2007-04-06 | 2015-08-04 | Hologic, Inc. | Tissue cutter with differential hardness |
US9259233B2 (en) | 2007-04-06 | 2016-02-16 | Hologic, Inc. | Method and device for distending a gynecological cavity |
US9301770B2 (en) | 2007-04-06 | 2016-04-05 | Hologic, Inc. | Systems, methods and devices for performing gynecological procedures |
US9339288B2 (en) | 2007-04-06 | 2016-05-17 | Hologic, Inc. | Uterine fibroid tissue removal device |
US9539019B2 (en) | 2007-04-06 | 2017-01-10 | Hologic, Inc. | Uterine fibroid tissue removal device |
CN105832376A (zh) * | 2016-05-11 | 2016-08-10 | 杨荣利 | 一种宫腔止血球囊 |
CN105832376B (zh) * | 2016-05-11 | 2017-12-29 | 杨荣利 | 一种宫腔止血球囊 |
Also Published As
Publication number | Publication date |
---|---|
EP0366292A3 (de) | 1991-07-17 |
US5100382A (en) | 1992-03-31 |
EP0366292A2 (de) | 1990-05-02 |
DE68917852T2 (de) | 1995-05-04 |
DE68917852D1 (de) | 1994-10-06 |
ATE110577T1 (de) | 1994-09-15 |
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